Loading...

Informed Consent and Liability Waiver

The Participant desires to participate in fitness-related activities, whether as part of a training session, instructional class, competition, camp, clinic, open gym, or other format (collectively, the “Fitness Activities”) offered by Cora and Kristina LLC, an Oregon limited liability company d/b/a Gym X (“Gym X”), and understands that the Participant’s agreement to each of the terms and conditions contained in this Informed Consent and Liability Waiver (this “Waiver”) is required by Gym X before the Participant will be permitted to do so. The Participant hereby acknowledges and agrees that the headings used in this Waiver are provided for convenience only and will not affect the meaning or interpretation of any provision hereof.

Acknowledgement of Risk

The Participant hereby acknowledges and understands that the Fitness Activities are inherently dangerous and may result in serious personal injury (including paralysis), death, and damage to personal property. The Participant understands the potentially strenuous physical demands of participating in Fitness Activities and confirms that the Participant is in good health and proper physical condition to do so.

Release of Gym X

The Participant is aware of, and willingly accepts, the inherent risks associated with participating in the Fitness Activities, including, but not limited to, serious personal injury (including paralysis), death, and damage to personal property. The Participant, for him/herself, legal representatives and successors, hereby forever releases and discharges Gym X and its members, managers, employees, representatives, sponsors, successors, and assigns (collectively, “Gym X Released Parties”) from any and all liability for any injury or damages, whether to the Participant’s person or property, resulting from or relating to the Participant’s participation in any Fitness Activities even if such injury is caused, directly or indirectly, by the negligence of any Gym X Released Party.

Indemnification of Gym X

The Participant, for him/herself, legal representatives and successors, hereby agrees to indemnify, defend, and hold each Gym X Released Party forever harmless from any and all losses, damages, liabilities, deficiencies, claims, actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including attorney fees, fees and costs of enforcing any right to indemnification under this Waiver, and the cost of pursuing any insurance providers, incurred by any Gym X Released Party, arising out of or relating to the Participant’s participation in any Fitness Activities, even if such claims, demands, costs, or other liabilities relate to the negligence of any Gym X Released Party. 

Gym X Use of Photos and Videos

The Participant hereby grants permission to Gym X and its employees, agents and assigns, to photograph and video the Participant’s image, likeness, and depiction while participating in the Fitness Activities. The Participant hereby consents to and permits photographs and videos of the Participant to be used by Gym X worldwide for any legitimate purpose, including educational and marketing purposes, and in any medium, including print and electronic. The Participant understands that Gym X may use such photographs and videos with or without associating names thereto. The Participant further waives any and all claims for compensation of any kind for the use or publication of photographs and/or videos of the Participant by Gym X. The Participant hereby fully and forever discharges and releases Gym X from any claim for damages of any kind (including, but not limited to, invasion of privacy; defamation; false light; or misappropriation of name, likeness, or image) arising out of the use or publication of photographs and/or videos of the Participant by Gym X, and covenants and agrees not to sue or otherwise initiate legal proceedings against Gym X for such use or publication. 

The Participant hereby acknowledges and agrees that this Waiver and the Participant’s obligations hereunder are binding upon the Participant and his/her legal representatives and successors. If any provision of this Waiver is deemed to be invalid or unenforceable in any respect for any reason, the validity and enforceability of such provision in any other respect and of the remaining provisions of this Waiver will not be impaired in any way. This Waiver will be governed by and construed in accordance with the laws of Oregon, without regard to conflict-of-laws principles.

I am at least 18 years of age and have read this Waiver and fully understand its terms. I hereby acknowledge that I am giving up substantial rights by signing this Waiver and sign it freely and without any inducement of any nature.

Date: June 8, 2025

First Participant's Name
First Name*
Middle Name
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.

For parents/legal guardians of participants under 18 years of age at the time of participation:
I hereby certify that I am the parent or legal guardian of the Participant, who is a minor child under 18 years of age, that I am at least 18 years of age, that I have the legal authority to execute this Waiver on the Participant’s behalf, and that I hereby voluntarily accept full responsibility for doing so. I have read this Waiver and fully understand its terms. I hereby acknowledge that I am giving up substantial rights by signing this Waiver and sign it freely and without any inducement of any nature.



By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!